title: [Biliary lithotripsy--a method of the treatment of cholelithiasis].
abstract: Crushing of stones in the gallbladder in a lithotriptor (Dornje MPL-9000 model) was tested in the clinic beginning from 1989. A total of 80 lithotripsies was conducted in 60 patients with radiotransparent+ stones measuring 25 mm on the average. Up to 3,000 pulsating-wave discharges were prescribed (a total of 2 sessions), which were generated by an underwater spark discharge. All of the stones were crushed. The stone fragments were dissolved by means of xeno and ursodeoxycholic acid (7-8 mg/kg daily). Ultrasonographic control 3 months after lithotripsy showed absence of stones in 29 patients (31.6%). The stone fragments disappeared completely in 15 (60%) in a group of 25 patients with solitary stones. Biliary lithotripsy had no side effects except for skin petechiae (6.6%), short-term hematuria (3.3%), and mild colics (6.6%). Extracorporeal pulsating-wave lithotripsy in combination with litholytic therapy is a safe and effective noninvasive method for the management of gallstones in a selected group of patients.
authors.forename: M A
authors.initials: MA
authors.lastname: Aliev
authors.forename: S Sh
authors.initials: SSh
authors.lastname: Baĭzhanov
authors.forename: A A
authors.initials: AA
authors.lastname: Amanbaev
authors.forename: M A
authors.initials: MA
authors.lastname: Aĭtkazin
authors.forename: G R
authors.initials: GR
authors.lastname: Izbasarova
authors.forename: S V
authors.initials: SV
authors.lastname: Mamedova
mesh_terms: D000328:Adult; D000368:Aged; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010316:Particle Size; D013997:Time Factors; D014463:Ultrasonography; D014580:Ursodeoxycholic Acid / Q000008:administration & dosage
chemical_list: D014580:Ursodeoxycholic Acid
vernacular_title: Biliarnaia litotripsiia--metod lecheniia kamneĭ zhelchnogo puzyria.